Organization Active NPI

City of Morrow

Doing business as Morrow Fire Department

  • Land Ambulance
  • Morrow, GA
National Provider Identifier
1891896684
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
031-06 Issued in GA
Legal business name
CITY OF MORROW
Doing business as
Morrow Fire Department
Practice address
1500 Morrow Rd
Morrow, GA 30260-1654
Phone
(770) 961-4008
Fax
(770) 960-1631
NPI assigned
Sep 26, 2006
Last updated
Mar 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tommy Bowden
Title
EMS Director
Phone
(770) 961-4008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 031-06 GA Primary

Addresses

Primary practice location

1500 Morrow Rd
Morrow, GA 30260-1654

Mailing address

1500 Morrow Rd
Morrow, GA 30260-1654
Phone (770) 961-4008

Other identifiers 2

IdentifierTypeStateIssuer
590007626OtherGARAILROAD MEDICARE
000393522AMedicaidGA

Other names 1

  • Morrow Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110810000379 GA Part B Supplier - Ambulance Service Supplier 3678742566 Practice locations: Morrow, GA
O20210519000503 GA Part B Supplier - Mass Immunization (Roster Biller Only) 3678742566 Practice locations: Morrow, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2201880Morrow Fire Department EMS1500 Morrow Road, Morrow, GA 30260Certificate of waiverNov 23, 2026

National Provider Directory

National Provider Directory

Locations

1500 Morrow Rd
Morrow, GA 30260
Phone (336) 714-9091

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1891896684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MORROW RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601654",
            "telephone_number": "770-961-4008",
            "fax_number": "770-960-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MORROW RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601654",
            "telephone_number": "770-961-4008",
            "fax_number": "770-960-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MORROW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "770-961-4008"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "031-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590007626",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000393522A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morrow Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.